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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
BUCKLING OR VITRECTOMY | |||||||
0 | REPAIR- SYMBLEPHERON CONJUNCTIVOPLASTY W/O | 45629-00[1676] | 420373 | 4562900 | 2,000.00 | ||
GRAFT | |||||||
0 | REPAIR- TRICHIASIS W/ MUCOUS MEMBRANE GRAFT | 45773-00[1711] | 420374 | 4577300 | 4,000.00 | ||
0 | REPAIR- WOUND- SCLERA, CORNEA, LIMBAL | 42551-01[162] | 420375 | 4255101 | 2,800.00 | ||
CONJUNCTIVA (GA) | |||||||
0 | REPOSITIONING OF HAPTIC AND PC-IOL | 42704-01[203] | 420376 | 4270401 | 2,000.00 | ||
2 | RESECTION. PTERYGIUM + GRAFTING | 86-00[172]90064-00[ | 420377 | 4268600 | Y | 4,500.00 | |
0 | RESUTURING | 420378 | 5,000.00 | ||||
0 | RETINA CRYOPEXY | 42773-011 | 420379 | 4,600.00 | |||
2 | RETINAL DETACHMENT REPAIR | 90079-00[212] | 420381 | 9007900 | Y | 9,000.00 | |
2 | RETINAL DETACHMENT REPAIR+ENDOLASER+SILICON | 42809-01[212] | 420382 | 67113 | Y | 19,000.00 |
BUCKLING OR VITRECTOMY
REPAIR- SYMBLEPHERON CONJUNCTIVOPLASTY W/O
2,000.00
GRAFT
REPAIR- TRICHIASIS W/ MUCOUS MEMBRANE GRAFT
4,000.00
REPAIR- WOUND- SCLERA, CORNEA, LIMBAL
2,800.00
CONJUNCTIVA (GA)
REPOSITIONING OF HAPTIC AND PC-IOL
2,000.00
RESECTION. PTERYGIUM + GRAFTING
4,500.00
RESUTURING
5,000.00
RETINA CRYOPEXY
4,600.00
RETINAL DETACHMENT REPAIR
9,000.00
RETINAL DETACHMENT REPAIR+ENDOLASER+SILICON
19,000.00
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